The Gold Standard for Health Literacy Readability
SMOG stands for Simple Measure of Gobbledygook — a name that captures its creator's frustration with needlessly complex writing. The formula counts polysyllabic words (three or more syllables) relative to the number of sentences, then maps the result to a US grade level. It is deliberately simple: one word class to count, one formula to apply, one number to interpret.
How the Formula Works
SMOG normalizes the polysyllable count to a 30-sentence sample, takes the square root, and adds 3. The square root compresses the scale so that doubling the number of hard words does not double the grade level — a realistic reflection of how reading difficulty scales. The constant 3 anchors the bottom of the scale at about third-grade level, which is where polysyllabic words start appearing in school texts.
Why Healthcare Trusts SMOG
Most readability formulas predict the grade level at which 50 to 75 percent of readers will understand the text. SMOG was calibrated for 100 percent comprehension — every reader at the predicted grade level should understand the material. This makes it the right choice for consent forms, prescription labels, discharge instructions, and public health campaigns where partial understanding is not acceptable.
Lowering Your SMOG Score
Since SMOG counts only polysyllabic words, the most effective edit is replacing three-plus-syllable words with one- or two-syllable alternatives."Medication" becomes"medicine" or"drug.""Approximately" becomes"about.""Communicate" becomes"tell" or"share." The polysyllabic word list this tool provides is your editing checklist — go through it and ask whether each word has a simpler replacement your audience would prefer.
Combining SMOG with Other Formulas
SMOG tends to produce slightly higher grade levels than Flesch-Kincaid because of its 100-percent-comprehension target. If you run both and get different numbers, SMOG is the more conservative estimate. For general content, use the average of two to three formulas. For health and safety content, use SMOG alone and target the lower score it recommends.
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